Individual
MARK COSTANZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
951 20TH STREET STE 1201,, DENVER, CO 80201-2510
Mailing address
PO BOX 752123, HOUSTON, TX 77275-2123
(312) 746-9064
Taxonomy
Speciality
Code
Description
License number
State
1041S0200X
School Social Worker
Primary
LSW.0009925410
CO
1041S0200X
School Social Worker
—
—
Other
Enumeration date
07/23/2024
Last updated
07/31/2024
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